Head-to-head · Cost-Efficiency Index
FMmeds vs SurpassMD
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
FMmeds
Cost-first shoppers who want a genuinely all-in flat monthly price that doesn't rise as your dose increases.
Visit FMmedsSurpassMD
Shoppers who want a published price table by plan length and a price that stays put as the dose goes up.
Visit SurpassMDThe verdict
FMmeds and SurpassMD tie on the Cost-Efficiency Index at 78/100, so neither wins outright on the numbers, so choose on fit. FMmeds: Cost-first shoppers who want a genuinely all-in flat monthly price that doesn't rise as your dose increases. SurpassMD: Shoppers who want a published price table by plan length and a price that stays put as the dose goes up.
Worth knowing either way: CoreAge Rx is one of our partners and leads our leaderboard, where partners are listed first (Cost-Efficiency Index 94/100). See how it stacks up: CoreAge Rx vs FMmeds.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | FMmeds | SurpassMD |
|---|---|---|
| Cost-Efficiency Index | 78/100 | 78/100 |
| Semaglutide / mo | $95/moAll doses, plus a separate fee, compounded | $219/moCompounded, month to month; $175 introductory first month, same price at every dose |
| Tirzepatide / mo | $145/moAll doses, plus a separate fee, compounded | $309/moCompounded, month to month; $247 introductory first month, same price at every dose |
| Semaglutide / yr (modeled) | $1,140 | $2,628 |
| Tirzepatide / yr (modeled) | $1,740 | $3,708 |
| Coverage | All 50 states | All 50 states and D.C. |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #48 | #50 |
FMmeds
78/100Where the value is
- The advertised price is confirmed all-in on the site's own FAQ (visit, physician review, and medication), not a bare medication cost
- Explicitly flat regardless of dose escalation — a real, published guarantee, not just a claim
- Named 503A compounding pharmacy (Manifest Pharmacy) and a real support phone/email
The tradeoffs
- Compounded only — not FDA-approved, and the site carries the standard compounded-medication disclaimer
- The site doesn't list the states it serves, show a LegitScript badge or name its prescribers
SurpassMD
78/100Where the value is
- Each medication page has a full table of 1-, 3-, 6- and 12-month prices, showing both the introductory rate and the standard renewal rate
- One price covers the provider review, medication, shipping and ongoing support, with no separate membership fee
- The price does not rise when your provider increases your dose
The tradeoffs
- The homepage's "as low as $114" and "$177" are introductory prices on a 12-month supply; month to month the standard rates are $219 and $309
- No refunds after cancellation unless you're medically disqualified
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.